| NPI | 1679985246 |
|---|---|
| Former Name | JULIA ELIZABETH WELLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 62236) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M-13084) |
| 207Q00000X Family Medicine (Licence: ID MRM-1402) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2024-01-30 |